Case Manager

500 Renaissance Center Detroit, Michigan 48243, Michigan 48075


  • Full time
  • $$34.50/per hour

Job Description

Job Title: Case Manager
Location: Detroit, MI
Duration: 12+ Months Contract / Permanent Position
    Job Description:
    • 2+ years of clinical experience, Case Management Experience, Proficient in MS Office
    • The Care Manager RN leads the coordination of a multidisciplinary team to deliver a holistic, person-centric care management program to a diverse health plan population with a variety of health and social needs. 
    • They serve as the single point of contact for members and their families using a variety of digital channels to meet members where they are. 
    • The Care Manager RN uses the case management process to assess, develop, implement, monitor and evaluate care plans designed to optimize the member's health across the care continuum. 
    • They work in partnership with the member, providers of care and community resources to develop and implement the plan of care and achieve stated goals.
    • Lead the coordination of a regionally aligned, multidisciplinary team to provide holistic care to meet member needs. This team will work with internal and external partners to maximize impact. 
    • Use the case management process to assess, develop, implement, monitor and evaluate care plans designed to optimize the member's health across the care continuum. 
    • Assess the member's health and psychosocial needs and support systems and consider their cultural preferences. 
    • Engage the member and/or caregiver to develop an individualized plan of care.
    • Arrange resources necessary to meet identified needs (e.g., community resources, mental health services, substance abuse services, financial support services, and disease-specific services). 
    • Coordinate care delivery and support among member support systems, including providers, community-based agencies and family. 
    • Deliver education to include health literacy, self-management skills, medication plans, nutrition, weight management etc. 
    • Monitor and evaluate the effectiveness of the care management plan and change as necessary. 
    • Prepare the member and/or caregiver for discharge from a facility to home or for transfer to another healthcare facility to support continuity of care. 
    • Educate the member and/or caregiver about post-transition care and needed follow-up, summarizing what happened during an episode of care. 
    • Secure durable medical equipment and transportation services and communicate this to the member and/or caregiver and to key individuals at the receiving facility or home care agency.
    • Assess adherence to care plan and report feedback to necessary stakeholders (e.g., PCPs, caregivers).
    • Measure and document the results of the care plan toward meeting members goals.
    • Adhere to professional standards as outlined by protocols, rules, and guidelines meeting quality and production goals.
    • Continue professional development by completing relevant continuing education and maintaining CMC (Case Manager Certification).
    • Associates degree in nursing required 
    • Bachelors degree in nursing preferred 
    • 2+ years of clinical nursing experience in clinical, acute care, or community setting required 
    • 1+ year of case management experience in a managed care setting required 
    • Experience managing patients telephonically preferred
    • Current, active and unrestricted Michigan Registered Nurse license required 
    • Certification in Case Management (CCM) preferred or to be obtained within 12 months of hire 
    • Certification in Chronic Care Professional (CCP) preferred
    • To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. 
    • The requirements listed below are representative of the knowledge, skill, and/or ability required. 
    • Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
    • Be a critical thinker with the ability to think outside the box on a large variety of topics 
    • Strong decision making and problem-solving skills 
    • Empathetic, supportive and a good listener 
    • Proficient in motivational interviewing 
    • Demonstrated time management skills 
    • Ability to multi-task, while still being thorough when dealing with members 
    • Must have intermediate computer knowledge, typing capability, and proficiency in Microsoft Word and Outlook 
    • Must embrace teamwork, but enjoy working independently 
    • Excellent interpersonal and communication skills both written and verbal

    About W3R Consulting

    Company Info

    500 Renaissance Center Detroit, Michigan 48243, MI, United States

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    Case Manager


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